{extend name="template/base_default"}
{block name="header"}
<link rel="stylesheet" href="__CSS__/common.css">
<link rel="stylesheet" href="__CSS__/login/index.css">
<style>

    .form-head{
        color: white;
        font-size: 16px;
        background-color: rgba(255, 255, 255, 0.2);
        border-radius: 5px;
        overflow: hidden;
    }
    body{
        background-image:url("__IMG__/bj.png");
        background-repeat:no-repeat;
        background-size:cover;
        text-align: center;
    }
    textarea{

        outline: none;
        color: #000000;
        position: relative;
        border: solid 1px #ffffff;
        background-color: rgba(255, 255, 255, 0.9);
        float: left;
        margin:auto;
        font-size: 16px;
        height:80px;
        border-radius: 5px;
        width:60%;
        font-family: "Microsoft YaHei UI";
    }
    .store-info{
        border-bottom:1px solid #ddd;

        width:95%;
        margin: auto;
    }
    .store-info-p1{
        color: #eeeeee;
        font-size: 18px;
     }
    .store-info-p2{

        color: deepskyblue;
        font-size: 14px;

    }
</style>
{/block}
{block name="body"}
<div class="store-info" onclick="">

        <div class="c-logo" ><img class="m-avatar" src="{$head}" /></div>
        <div>
            <p class="store-info-p1">中大圆通汽车服务中心</p>
            <p class="store-info-p2">江干区下沙经贸职业技术学院西大门</p>
        </div>

</div>
<form action="{:url('login/register')}" method="post" style="width:95%;margin: auto">
<div >
    <div class="form-input3" >
        <label for="name" class="form-input3-label">消费总额:</label>
        <input class="form-input4-input" id="name" name="name" type="text" value="" placeholder=" ">
    </div>
    <div class="form-input3">
        <label for="sex" class="form-input3-label">不优惠金额:</label>
            <input class="form-input4-input" name="sex" id="sex" type="text" value="">
    </div>
    <div class="form-input3">
        <label for="name" class="form-input3-label">实付金额:</label>
        <input class="form-input4-input" id="content" name="content" type="text" value="" placeholder="">
    </div>
    <div class="form-input4">
        <label for="name" class="form-input3-label">备注:</label>
        <textarea style="">

        </textarea>
    </div>


</div>

    <div class="form-input">
        <button id="submit" class="login-btn2" type="button">提交</button>
    </div>
</form>
{/block}
{block name="footer"}

{/block}